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Correspondence
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Volume 335:1846-1847 December 12, 1996 Number 24
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Venous Thromboembolism during Pregnancy

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 by Toglia, M. R.
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To the Editor: In their otherwise excellent review (July 11 issue),1 Toglia and Weg fail to mention an emerging type of venous thrombosis during pregnancy. We recently admitted a multiparous 37-year-old woman who was six weeks pregnant after induced ovulation and in vitro fertilization, during which a mild ovarian hyperstimulation syndrome had developed. She presented with pain and swelling of the right side of her neck. Doppler ultrasonography revealed thrombosis of the internal jugular vein that was confirmed by spiral computed tomography. Our patient was treated with intravenous heparin and subsequently with subcutaneous enoxaparin, and the use of a coumarin . . . [Full Text of this Article]

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